Individual
PAMELA JEAN HENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7772 BEAR RIDGE ST, LAS VEGAS, NV 89113-4024
(702) 343-0449
Mailing address
7772 BEAR RIDGE ST, LAS VEGAS, NV 89113-4024
(702) 343-0449
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0803
NV
Other
Enumeration date
04/04/2007
Last updated
09/30/2018
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